Clinical and Translational Research
Copyright ©The Author(s) 2022.
World J Clin Cases. Nov 26, 2022; 10(33): 12089-12103
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12089
Table 1 Demographic characteristics and clinicopathological characteristics
VariablesTotal, n = 151Esophagus cancer, n = 151
Adenocarcinoma, n = 74
Squamous cell carcinoma, n = 77
Age, yr
Median6068.557
Interquartile range(53-72)(57-77)(51-63.5)
Sex
Female22 (14.6%)11 (14.9%)11 (14.3%)
Male129 (85.4%)63 (85.1%)66 (85.7%)
AJCC-TNM Stage
18 (11.9%)11 (14.9%)7 (9.1%)
70 (46.4%)24 (32.4%)46 (59.7%)
51 (33.8%)31 (41.9%)20 (26.0%)
12 (7.9%)8 (10.8%)4 (5.2%)
EGFR status
Mutant5 (3.3%)3 (4.1%)2 (2.6%)
Wild-type146 (96.7%)71 (95.9%)75 (97.4%)
KRAS status
Mutant2 (1.3%)2 (2.7%)0 (0)
Wild-type149 (98.7%)72 (97.3%)77 (100%)
BRAF status
Mutant1 (0.7%)0 (0)1 (1.3%)
Wild-type150 (99.3%)74 (100%)76 (98.7)
PIK3CA status
Mutant14 (9.3%)4 (5.4%)10 (13.0%)
Wild-type137 (90.7%)70 (94.6%)67 (87.0%)
OS event
Event58 (38.4%)36 (48.6%)22 (28.6%)
Non-event93 (61.6%)38 (51.4%)55 (71.4%)
OS months
Median13.414.813.0
Range(7.8-22.9)(7.3-27.5)(11.0-18.6)
PFS event
Event73 (48.3%)38 (51.4%)35 (45.5%)
Non-event78 (51.7%)36 (48.6%)42 (54.5%)
PFS months
Median10.710.310.7
Range(5.1-18.9)(5.4-24.5)(3.7-15.8)
Table 2 Relationship between the clinicopathological characteristics and survival outcome
ParametersOverall survival
Progression-free survival
Non-event
Event
P value
Non-event
Event
P value
Age, yr0.7580.628
≤ 6557375044
> 6536212829
Sex0.1020.009
Female175175
Male76536168
AJCC-TNM stage0.0210.013
I and II61275335
III and IV32312538
Pathological type0.0110.469
Adenocarcinoma38363638
SCC55224235
EGFR status0.596
Wild-type320.94123
Mutant90567670
BRAF status0.4280.332
Wild-type1010
Mutant92587773
KRAS status0.7340.962
Wild-type1111
Mutant92577772
PIK3CA status0.8280.896
Wild-type9577
Mutant84537166
Table 3 The results of the univariate Cox regression analysis
Gene name
HR
HR.95L
HR.95H
P value
PDHA122.963.09170.730.002
ATP7A3.830.9615.210.057
CDKN2A0.840.641.100.204
PDHB1.760.378.500.479
GLS1.500.484.670.484
ATP7B1.150.771.710.496
FDX11.520.415.590.527
DLD1.820.2712.110.534
LIPT20.870.461.640.662
DLST0.580.056.700.662
NFE2L20.730.183.040.666
DLAT1.430.238.890.702
DBT0.830.272.540.744
GCSH0.870.322.360.777
MTF10.850.262.800.785
LIAS0.860.252.930.806
NLRP30.910.441.900.809
LIPT11.140.294.410.853
SLC31A11.080.196.150.928
Table 4 Univariate and multivariate Cox regression analyses of pyruvate dehydrogenase A1 expression and the clinicopathological factors in the esophagus cancer patients
VariablesOverall survival
Progression-free survival
HR (95%CI of HR)
P value
HR (95%CI of HR)
P value
PDHA1 low1.00 (Reference)1.00 (Reference)
UVA PDHA1 high2.34 (1.42-3.87)0.00091.51 (0.95-2.38)0.08
MVA PDHA1 high1.67 (1.03-2.73)0.0386
Age ≤ 651.00 (Reference)1.00 (Reference)
Age > 650.81 (0.47-1.41)0.460.97 (0.60-1.55)0.89
Sex, Female1.00 (Reference)1.00 (Reference)
UVA Male2.12 (0.84-5.34)0.112.97 (1.19-7.39)0.02
MVA Male2.27 (0.90- 5.73)0.08
Pathological types, adenocarcinoma1.00 (Reference)1.00 (Reference)
SCC0.81 (0.47-1.39)0.451.11 (0.70-1.77)0.66
AJCC stage I, II1.00 (Reference)1.00 (Reference)
UVA AJCC stage III, IV2.53 (1.76-3.64)5.86 × 10-71.98 (1.46-2.67)9.48 × 10-6
MVA AJCC stage III, IV2.30 (1.58-3.35)1.46 × 10-51.86 (1.37-2.52)6.98 × 10-5